| Elyssa Ann Gibbons, DPT | |
|
1731 Daniel Boone Ln, Boonville, MO 65233-2864 | |
| (660) 537-3908 | |
| Not Available |
| Full Name | Elyssa Ann Gibbons |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 1731 Daniel Boone Ln, Boonville, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447923313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2017026630 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 246 |
| Provider Name | Boone Physician Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Provider Name | Central Missouri Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyssa Ann Gibbons, DPT 1731 Daniel Boone Ln, Boonville, MO 65233-2864 Ph: (660) 537-3908 | Elyssa Ann Gibbons, DPT 1731 Daniel Boone Ln, Boonville, MO 65233-2864 Ph: (660) 537-3908 |
Miss Kelley Nicole Tate, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 Fax: 660-882-6120 | |
Reorganized School District No 1 Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 736 Main St, Boonville, MO 65233 Phone: 660-882-7474 Fax: 660-882-5721 | |
Timothy R Tracy, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 | |
Excel Physical Therapy & Sports Medicine Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 Fax: 660-882-6120 | |
Mrs. Jennifer Jo Hackman, P.T. ,A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-6115 Fax: 660-882-6120 |